Supervisor Inpatient Coding

HonorHealth•Phoenix, AZ

3d•Onsite

About The Position

The Supervisor Inpatient Coding oversees workflow and productivity for system health record coding and abstracting, DRG (inpatient) and APC (outpatient) assignment and validation. The role provides resources to hospitals, surgery centers, and clinics to maintain discharge-not-final-billed (DNFB) turnaround and productivity standards. It provides leadership for the assigned section and participates in departmental administration, including hiring, evaluating, and terminating staff. The supervisor works closely with the Network Coding Manager and Senior Network HIM Director to support timely reimbursement and billing, monitors DNFB, and develops ways to reduce it. The supervisor establishes coding policies, procedures, operational benchmarks, and system-wide standards; supports coding staff with questions and problem solving; and coordinates monthly education for coding staff and ancillary personnel. The role keeps current with coding and reimbursement requirements, sets priorities and schedules to meet billing suspense-day targets, and monitors failed-bill reports. It also supports special projects, monitors customer service, and implements process improvements to strengthen system-wide HIM effectiveness.

Requirements

At least one active inpatient certification: CCS (Certified Coding Specialist), CIC (Certified Inpatient Coder), RHIT, or RHIA.
Associate degree or two years of related work experience required.
Two years of inpatient hospital coding lead, auditor, or trainer experience, with working knowledge of charging and billing for hospital inpatient accounts; or outpatient coding lead, auditor, or trainer experience, with working knowledge of charging and billing for at least three listed specialty work types.
Three years of coding and encoding software experience required.
Inpatient hospital coding experience, including complicated accounts and long-length-of-stay accounts; or outpatient working knowledge of Medicare, NCCI, OCE, LCD, NCD, and other claim-edit guidelines and protocols.
For outpatient coding, one of the following certifications is required: CPC-H, CPC, COC, CCS, RHIT, or RHIA.
The posting also lists RHIT or RHIA as preferred for inpatient/outpatient coding.

Nice To Haves

Bachelor’s degree preferred.
Five years of inpatient coding lead, auditor, or trainer experience with working knowledge of charging and billing for hospital inpatient accounts, or outpatient coding lead, auditor, or trainer experience with working knowledge of charging and billing for at least three listed specialty work types.
Five years of coding using encoder software and supervisory experience preferred.
RHIT or RHIA preferred for inpatient/outpatient coding.

Responsibilities

Oversee workflow and productivity for system health record coding, abstracting, DRG and APC assignment, and validation.
Provide resources to hospitals, surgery centers, and clinics to maintain DNFB turnaround and productivity standards.
Provide leadership for the assigned section and participate in hiring, evaluating, and terminating staff.
Work with the Network Coding Manager and Senior Network HIM Director to support timely reimbursement and billing, monitor the DNFB report, and develop ways to decrease DNFB.
Establish policies, procedures, operational benchmarks, and system-wide best practices for inpatient ICD-10-CM and ICD-10-PCS coding.
Establish policies, procedures, operational benchmarks, and system-wide best practices for outpatient ICD-10-CM, CPT, and HCPCS coding.
Serve as a resource for coding staff on questions, situations, and problem solving.
Plan and coordinate monthly educational forums for coding staff and ancillary personnel to support correct coding and compliance with third-party payer billing and reimbursement requirements.
Keep current with federal legislation, periodicals, and publications related to correct coding and reimbursement compliance.
Set priorities and schedules to meet reimbursement and billing suspense-day targets, including monitoring the failed-bill (incomplete abstract) report.
Participate collaboratively in special projects, training, and other duties assigned by the Network Coding Manager.
Assign and sequence ICD-10-CM and ICD-10-PCS codes for inpatient accounts for billing and reimbursement.
Assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient, observation, ambulatory, and emergency-room records for billing and reimbursement.
Monitor the quality of customer service provided to internal and external customers and medical staff, and respond to complaints of inadequate service.
Initiate, prepare, and implement process improvements and other projects to maximize system-wide HIM effectiveness.
Perform other duties as assigned.